Individual provider Active NPI

Maryam Rivaz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
National Provider Identifier
1679891006
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
16109 Issued in NV
Practice address
9280 W Sunset Rd Ste 306
Las Vegas, NV 89148-4861
Phone
(702) 696-7256
Fax
(702) 796-7256
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16109 NV
Student in an Organized Health Care Education/Training Program 390200000X NM
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 16109 NV Primary

Addresses

Primary practice location

9280 W Sunset Rd Ste 306
Las Vegas, NV 89148-4861

Mailing address

PO Box 400475
Las Vegas, NV 89140-0475
Phone (702) 696-7256

Other practice location 1

3150 N Tenaya Way Ste 415
Las Vegas, NV 89128-0463
Phone (702) 696-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140603001792 TN Practitioner - Internal Medicine 4880817220 Reassigns benefits to 1 organization
I20160127002630 NV Practitioner - EndocrinologyPractitioner - Internal Medicine 4880817220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Medical Group LLCGroup PAC ID 6204926298, 12 clinicians

Practice addresses (Care Compare)

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4861
Phone (702) 696-7256

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as group
Quality
79.19
Improvement activities
40
Cost
74.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16109NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Group LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Bessler MD, PLLC Internal Medicine CurrentSince Dec 19, 2015 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC Hospitalist CurrentSince Apr 1, 2017 Accepting new patients
Palm Medical Group, Nakhle MD, PLLC Endocrinology, Diabetes & Metabolism PastSince Aug 18, 2019 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

3150 N Tenaya Way
Ste 415
Las Vegas, NV 89128
Phone (702) 240-0800

9280 W Sunset Rd
Ste 306
Las Vegas, NV 89148

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: palmmedicalgroup.maryamrivaz@119082.advancedmd-direct.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1679891006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400475",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400475",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484861",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 N Tenaya Way Ste 415",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280463",
            "country_code": "US",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAZ",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "16109",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "16109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.